Overview
Summary:
Review, monitor, and control charge capture and documentation. Provide on-site physician feedback for coding/documentation practices. Assist physicians with documentation and billing compliance guidelines.
Responsibilities
Review clinical documentation and code to the highest level of specificity for accurate charge capture stated by physicians or other healthcare providers.
Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS for insurance billing.
Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
Communicates with Special Billers and Charge Follow-up Coordinator in answering insurance billing questions.
Reviews and corrects charge review edits.
Reviews records to ensure proper submission of services prior to billing on selected charges.
Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately.
Works in cooperation with other clinical areas and staff.
Performs coding work requiring independent judgment with timeliness and accuracy.
All other duties as assigned
Qualifications
Experience Requirements:
3 years- Medical billing preferred
3 years- Extensive experience in physician coding preferred
Education:
High School Diploma - required
Certification/Licensure:
Certified Professional Coder (CPC) required
Additional Duties:
All other duties as assigned
UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.
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